- Osteoarthritis is one of the most commonly managed conditions in the primary care setting.
- Typical osteoarthritis can be diagnosed with history and physical examination.
- Imaging has a limited role in the diagnosis and management of osteoarthritis.
- Management of osteoarthritis has shifted from a traditional approach of pain control to core management strategies including education and information, weight management and physical activity.
- Opioids have a limited role in the management of osteoarthritis due to their limited benefits and a significant risk of harm.
Triamcinolone, cartilage loss and knee pain in osteoarthritis
Triamcinolone intra-articular corticosteroid injection is approved as an adjunctive, short-term treatment for pain relief in patients with knee osteoarthritis (OA). Long-term use is not supported by current evidence, including recently published 2-year clinical data showing that repeat intra-articular triamcinolone injections every 12 weeks, as used in clinical practice, lead to cartilage loss and do not reduce pain in patients with knee OA.
Medicinewise News: Osteoarthritis is an opportunity to promote weight loss with patients
Being overweight or obese is the single most important risk factor for knee osteoarthritis (OA). People who are obese are twice as likely to develop knee OA compared to non-obese people. And weight loss stands tall among OA management options, along with exercise and self-management. How can clinicians make the most of this synergy?
Osteoarthritis management now
In my practice: Q&A
Australian Prescriber: Managing osteoarthritis
Shirley P Yu and David J Hunter
Aust Prescr 2015;38:115-19
Obesity is the most important modifiable risk factor, so losing weight in addition to land- and water-based exercise and strength training is important.